Hemodialysis-related porphyria cutanea tarda--treatment failure with charcoal hemoperfusion.

  title={Hemodialysis-related porphyria cutanea tarda--treatment failure with charcoal hemoperfusion.},
  author={Kenneth E. L. McColl and Kenneth Simpson and A Y Laiwah and George G. Thompson and Alex McDougall and Michael R. Moore},
  volume={3 3},
A 56-yr-old man presented with a photosensitive bullous dermatosis 1 yr after commencing hemodialysis. Urinary porphyrin levels were normal and fecal porphyrin levels only minimally increased, but the plasma uroporphyrin concentration was markedly elevated, being higher than that normally occurring in porphyria cutanea tarda. The high plasma uroporphyrin level was thought to result from the combined effects of increased porphyrin production and failure of adequate clearance by hemodialysis… CONTINUE READING